Individual
SHANNON SUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 NAPERVILLE RD STE 265, NAPERVILLE, IL 60563-3486
(844) 247-7222
(215) 489-8766
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(844) 247-7222
(215) 489-8766
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51620
IL
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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